Post Reply 
[Pressure] Best settings for my machine?
Author Message
Chuck Offline

Preferred Members

Posts: 21
Joined: Mar 2012

Machine: ResMed VPAP Auto 25 (S8)
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro
Humidifier: ResMed (not used)
CPAP Pressure: I = 12; E = 8
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Arizona

Post: #41
RE: Best settings for my machine?
Thanks for your warning about APAPs Sleepster. I was thinking about getting one. But it sounds like a BiPAP would be better.
My doctor is not knowledgeable about or terribly concerned about sleep therapy. I can tell from my limited conversations with him that it isn't a topic he is interested in or takes very seriously. He disagreed with me for instance when I told him that my HBP is likely due to insufficiently treated apnea, even though I am otherwise healthy.
I will have to pay the DME and my doc for new pressure orders. Because the place where I had the sleep study went out of business, the DME will probably press for a new sleep study. This all comes out of my pocket.

I read a story (on here or elsewhere?) about new Medicare reimbursement schemes for sleep therapy and equipment. I noticed on Craigslist that there are a couple local DMEs for sale, also trying to sell off their inventory. There are a lot of businesses in my city selling PAP equipment off-market.

So last night I went to sleep with pressure at 10 cm and C-Flex 3. I woke up feeling CA-ish about 3 am, and bumped up the pressure to 11 and left the C-Flex alone. I swallowed less air and felt better this morning than I have lately (although I'm still tired). I'm going to leave the machine at current settings tonight and probably Saturday night. If that doesn't work, then I'm bumping pressure up higher - to 13, my original setting - and will see what happens.
04-06-2012 03:22 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,067
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #42
RE: Best settings for my machine?
Let it set for longer. Let it go for at least a week. We never sleep the same way, twice. So a single night or even several nights is not enough to really determine if anything is working or not.

Constantly making changes to the high pressure is not going to help you much unless you wait some time between each change.
04-06-2012 03:45 PM
Find all posts by this user Post Reply Quote this message in a reply
zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #43
RE: Best settings for my machine?
(04-06-2012 11:48 AM)Sleepster Wrote:  More importantly, there is no research to indicate that APAP's are really a good idea.
APAP can provide effective therapy provided it set right not in wide range (4-20) as in some cases. The notion that S9 AutoSet can runway with pressure and cause central apnea is a false one probably was the case with the older machines. The S9 AutoSet can differentiate between obstructive and central apnea and only treat obstructive apnea. APAP can be set in fixed or auto mode while CPAP can only be set in fixed mode so it,s like having two machines in one. S9 AutoSet works quite well for me and also I don,t have insurance or the luxury of getting a machine replacement every so often.
04-06-2012 04:03 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Sleepster Offline
Wiki Editor
Moderators

Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #44
RE: Best settings for my machine?
(04-06-2012 04:03 PM)zonk Wrote:  The notion that S9 AutoSet can runway with pressure and cause central apnea is a false one probably was the case with the older machines.

I'm not a medical professional, but I've heard people here on this forum claim that they had to lower their APAP pressure because it would sometimes go too high, raising their AHI.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
04-06-2012 07:32 PM
Find all posts by this user Post Reply Quote this message in a reply
Sleepster Offline
Wiki Editor
Moderators

Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #45
RE: Best settings for my machine?
(04-06-2012 03:22 PM)Chuck Wrote:  So last night I went to sleep with pressure at 10 cm and C-Flex 3. I woke up feeling CA-ish about 3 am, and bumped up the pressure to 11 and left the C-Flex alone. I swallowed less air and felt better this morning than I have lately (although I'm still tired). I'm going to leave the machine at current settings tonight and probably Saturday night. If that doesn't work, then I'm bumping pressure up higher - to 13, my original setting - and will see what happens.

Are you looking at your data to see if you really are experiencing a lot of CA's? That's really the only way to tell.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
04-06-2012 07:36 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #46
RE: Best settings for my machine?
(04-06-2012 07:32 PM)Sleepster Wrote:  
(04-06-2012 04:03 PM)zonk Wrote:  The notion that S9 AutoSet can runway with pressure and cause central apnea is a false one probably was the case with the older machines.

I'm not a medical professional, but I've heard people here on this forum claim that they had to lower their APAP pressure because it would sometimes go too high, raising their AHI.
Apology-2 what,s the point and how is it related to what I said.
(This post was last modified: 04-07-2012 05:07 AM by zonk.)
04-06-2012 08:41 PM
Find all posts by this user Post Reply Quote this message in a reply
Chuck Offline

Preferred Members

Posts: 21
Joined: Mar 2012

Machine: ResMed VPAP Auto 25 (S8)
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro
Humidifier: ResMed (not used)
CPAP Pressure: I = 12; E = 8
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Arizona

Post: #47
RE: Best settings for my machine?
I've always responded quickly (for better or for worse) to changes to therapy, so I don't mind changing settings daily.
After feeling poorly on lower pressures, I raised it back to the original prescribed pressure of 13 on Saturday. I slept better the past 2 nights. I didn't have time to review data on Sleepyhead.

I used C-Flex 3. I notice that the C-Flex feature doesn't always track my breathing rhythm well, and it tries to inflate me during exhalations, then reduces pressure during inhalation. I may need to shut it off. A review of my records this past year on Sleepyhead shows that my best nights statistically were the ones I had C-Flex shut off. So I'll shut it off tonight. I'll probably be bloated tomorrow, but them's the shakes.
04-09-2012 01:57 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
CHanlon Offline

Advisory Members

Posts: 292
Joined: Mar 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: ResMed Activa LT
Humidifier: ResMed Hi5
CPAP Pressure: 12 -20
CPAP Software: ResScan SleepyHead

Other Comments: Mirage Activa LT nasal mask

Sex: Male
Location: Ontario, Canada

Post: #48
RE: Best settings for my machine?
(04-06-2012 10:24 AM)PaulaO2 Wrote:  I've never had a data capable machine. My sleep doc does not like APAPs so I doubt he is interested in any data at all.

Yes, I will most likely switch sleep doctors.

Yeah, I had the exact same situation with mine. I had 3 different RTs tell me that "Oh, you should ask your Dr to set you up with an APAP, it's not that hard, just a letter from them to say you had a hard time with CPAP, here we even have a pre written one..." and he wouldn't even discuss it. Right up until I said, "look, just write the prescription and I'll order one myself and to heck with justifying it to insurance..."

Of course, I'm pretty sure he owns part of the RT clinic he sent me to for the machine... once he realized I had no intention of buying a machine there, he lost interest in me. My last visit there ended with "come back in a year..." and when I booked the appointment I mentioned that I'd probably forget by then..."no problem, we always call a couple days before to remind you." Except they didn't. I actually remembered it - see? CPAP helps! - but since they didn't bother calling, I didn't bother going.
04-09-2012 02:22 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Newbie - need advice on settings and machine tmc712 18 375 12-06-2016 09:04 PM
Last Post: tmc712
  Dream Station Ramp and Pressure Settings knowoneuno 21 460 12-06-2016 11:00 AM
Last Post: Sleeprider
  Dream Station Settings Autumnseer 15 544 11-26-2016 07:01 AM
Last Post: Weird Tolkienish Figure
  Who generally is in charge of your CPAP settings? Mezzrow 9 479 11-12-2016 01:47 AM
Last Post: blueelement2016
  do I have the right machine (and settings) JaminV 4 380 10-31-2016 10:05 PM
Last Post: trish6hundred
  Dreamstation heated tube/humidifier initial settings. NorthernGuy 9 740 10-28-2016 09:21 AM
Last Post: Perchas
  Flex settings and hypopneas KSMatthew 4 531 10-21-2016 09:47 PM
Last Post: Sleeprider

Forum Jump:

Who's Online (Complete List)